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Biomedical subjects

H A Rosenstock

Publications and source records attributed to H A Rosenstock.

At least 19 recordsLinked to original sources
PubMed1996

Sertraline withdrawal in two brothers: a case report.

Two case histories are reported describing sertraline withdrawal in two brothers. The case histories document withdrawal symptoms of (1) dysequilibrium (2) dysesthesias (3) dizziness and (4) a flushing sensation. The literature of selected serotonin reuptake inhibitors (SSRI) withdrawal is reviewed. Advocated is the monitoring of patients' withdrawal symptoms from SSRI's even when prescribed at modest doses.

1-Naphthylamine↗
PubMed1985

The first 900: a nine-year longitudinal analysis of consecutive adolescent inpatients.

Data for the presenting complaints, average age and sex distribution, average length of stay and the discharge diagnosis for 900 consecutive adolescents treated at the Adolescent Center of Houston International Hospital between 1974 and 1982 were reviewed. The number of cases remained fairly constant over the 9 years. As the males and females showed an increase in age, the increase in age for males (13.4 years to 15.2 years) was greater than that for females (14.4 years to 15.0 years). The average age for male admissions during 1974-1976 was significantly lower than 1980-1982 (p less than 0.03). The average length of stay for males during 1980-1982 was significantly greater than 1974-1976 (p less than 0.05). The most frequent presenting symptoms in decreasing order for 1974-1982 were depression, school problems, family problems, threatening behavior, runaway behavior, and suicidal ideation. Depression increased from 15.6% in 1974-1976 to 29.6% of presenting symptoms. Substance abuse increased from 4% (1974-1976) to 8.8% (1980-1982). Suicidal ideation increased three-fold over the same period (3.3% to 10.6%). A significantly greater number of males presented with 1) impulsivity, 2) aggressiveness, 3) withdrawal behavior, 4) stealing, and 5) disruptive behavior. A significantly greater number of females presented with 1) runaway behavior, and 2) suicidal ideation. The 10 most frequent discharge diagnoses are listed. Depression as a diagnosis increased almost four-fold between 1977-1979 and 1980-1982 (7.6% versus 27.5%).

Adjustment Disorders↗
PubMed1984

Goal directed informal sessions: their impact on an adolescent unit.

Goal Directed Informal Sessions ( GDIS ) were utilized on an inpatient adolescent unit in an attempt to facilitate communication between adolescents and their parents, to neutralize partially the almost universal fantasy that adolescents know more than their respective parents on any given topic, and to maximize the impact of the therapeutic milieu in other ways. The vehicle for the GDIS was discussions of various aspects of human sexuality. Thirty-four adolescents (average age 14.8), their parents, and staff were asked to respond to a questionnaire relating to human sexuality prior to the onset of GDIS . Adolescents speculated that their parents would perform least well. The average test scores for the adolescents, their parents, and staff respectively were: 65 percent, 79 percent and 81 percent. There was no significant difference between the scores of staff and parents. The difference between adolescents' scores and those of the parents and staff was significant (p less than 0.05). Framework for the GDIS is outlined, and illustrative vignettes are offered. Based on one year's experience, GDIS are recommended for other adolescent facilities.

Adolescent↗
PubMed1982

Positive group efficacy in adolescent treatment.

The Positive Group as a treatment modality was evaluated in a pilot study with 24 adolescents over an eight-week period. This technique requires adolescents to make positive statements about themselves and others in the group. Each adolescent must also verbally acknowledge the compliment paid him. Proscribed are all negative comments. The results were evaluated primarily through clinical observation and anecdotal reports as given by counselors, nursing staff, program coordinators, and attending psychiatrists. The results support incorporating the Positive Group Therapy into both inpatient and outpatient treatment practices. Positive Group experience was found facilitative over a broad range of diagnostic categories, helping enhance self-image, social skills and leadership potential in the presence of and with the encouragement of peers. Illustrative clinical vignettes are offered. The authors conclude that the Positive Group is a probably beneficial therapy approach.

Acting Out↗
PubMed1980

Recognizing the teen-ager who needs to be pregnant: a clinical perspective.

Based on the last three years' clinical experience with 600 inpatient adolescents at the Adolescent Center of Houston International Hospital, this paper reviews the pregnancy issue in terms of primary, secondary, and tertiary prevention. The majority of the patients were white middle-class girls ranging in age from 12 to 17. The clinical symptoms which especially identified at-risk patients were (1) failure experiences, (2) stymied aggression, (3) rights of passage proclamation, (4) parental complicity, (5) the guaranteed spouse, (6) perceived love deprivation, (7) contrived need for parental acceptance, and (8) pseudoknowledge. Secondary prevention is described in terms of (1) parents' group for the parents of the young parents, (2) use of peer group psychotherapy, and (3) parents' groups as a means for dealing with "pregnancy substitutes." Tertiary prevention is depicted in terms of (1) peer group psychotherapy in the postabortion phase, (2) use of peer groups and parents' groups to avoid further pregnancies, and (3) peer/parents' group psychotherapy as a source of contraceptive information. Illustrative vignettes are included for each category. Follow-up at six months after hospitalization has supported the effectiveness of the methods of intervention described.

Adolescent↗
PubMed1980

Fire-setting on an adolescent inpatient unit: an analysis.

A one time series of fire-setting episodes on an inpatient adolescent service are analyzed from a systems standpoint for the purpose of primary prevention. This paper documents that fire-setting behavior can occur in individuals with no prior history of fire-setting and that losses to the hospital system proper can be psychologically coupled to losses felt by an individual. Specific recommendations are offered based on both case history analysis of the protagonists and the psychosocial determinants of the hospital system. A selective literature review compares this experience with others.

Acting Out↗
PubMed1979

Parental involvement as a requisite for successful adolescent therapy.

The effect of parental involvement in the treatment program of 66 consecutive adolescent patients is analyzed. Adolescents whose parents participated regularly in a parents' group or in individual parental consultation and therapy achieved a 64% success rate, using narrow success criteria. For those adolescents whose parents were not involved in the treatment process, the failure rate was virtually 100% (chi2=21.07, p less than 0.001). There was no statistically significant difference in treatment outcome between the cohorts of parental involvement. However, a parents' group is recommended where feasible in lieu of individual parent consultation alone for reasons of catharsis, universality, mutual support, and collective experience.

Adolescent↗
PubMed1979

The relationship between stressful life events and hospitalized adolescent psychiatric patients.

The nature and magnitude of psychosocial stresses preceding adolescent hospitalization were investigated. The findings indicate that the adolescent psychiatric patients have a greater magnitude of stressful life events when compared with general hospitalized adolescents and normal adolescents. The difference is found to be largely quantitative rather than qualitative. The results of the present study utilizing a combined version of Coddington's Junior High School and Senior High School Social Readjustment Rating Questionnaires is similar to previous findings on adult populations using the Social Readjustment Rating Scale.

Adolescent↗
PubMed1979

Who is responsible for the delinquent adolescent? A psychiatric and Talmudic perspective.

The concept of the delinquent adolescent is reviewed in terms of definition, culpability, and rehabilitation in concert with psychiatric and Talmudic perspectives. Seven principles under Talmudic Law are discussed which were used by the Court to help determine whether or not an individual was in fact an incorrigible delinquent. The Talmudic concept has evolved that the delinquent child is a product of a disturbed family and a pathological environment. Aberrant behavior was always interpreted in a holistic fashion in the nomenclature of family dynamics. Talmudic tradition emphasizes the necessity to acquire means for reestablishing the intactness of a healthy family. When it is determined that this is not possible in the nuclear family, mandates are given society for placement elsewhere under the aegis of the Court.

Adolescent↗
PubMed1978

Annotated contract technic: special adolescent groups.

Fifty-six consecutive adolescent inpatients at the Adolescent Center of Houston International Hospital were subjects of a prospective study reviewing the efficacy of the Annotated Contract technic. Three primary diagnostic groups evolved: adjustment reaction of adolescence (ARA); borderline schizophrenia (BL-S); and antisocial personality (A-P). Follow-up of 6 to 20 months showed the technic overall to be extremely useful for ARA group, useful for BL-S group, and of questionable value for A-P group. The contract technic was initially accepted by all groups; it was facilitative in family conferences for 89%, 80%, and 56% of the ARA, BL-S, and A-P groups respectively. Most patients were able to use the contract as a barometer of their own progress; the A-P group used the contract largely to ventilate hostilities and/or limit parental demands. Only 18% of the ARA, compared to 50% of BL-S and 94% of A-P groups, ultimately ignored the contracts altogether. The technic is adaptable for clinical research as well as office practice.

Adolescent↗
PubMed1978

Capgras syndrome: case report of an adolescent and review of literature.

Case report of an adolescent with Capgras Syndrome in the absence of organic brain syndrome is presented. Four cardinal features associated with Capgras Syndrome--(1) moderate-to-severe anxiety or stress, (2) ambivalent love-hate relationships with important love objects, (3) body image distortion, and (4) rejection-abandonment phenomena--were developed vis-a-vis the developmental tasks of adolescence. The literature consisting of 75 case reports is reviewed from the standpoint of differential diagnosis especially with respect to organic brain syndromes and schizophrenia.

Adolescent↗
PubMed1975

The summit-annotated contract technique for hospitalized adolescents.

The author describes a technique for use with adolescents (perferably nonpsychotic, acting-out patients) in the terminal phase of psychiatric hospitalization. Patient, parents, and therapist have a summit meeting during which they write a contract which is a prerequisite of the patient's discharge. The document, which all parties sign, specifies conditions of the patient's return to family life. A case report, including a contract, illustrates the use of the technique.

Adolescent↗